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Individual

MR. CARL DAVID FRANCKOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
390 GARDEN ST, WEST ISLIP, NY 11795-2424
(631) 748-8260
Mailing address
390 GARDEN ST, WEST ISLIP, NY 11795-2424

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
466134931
NY

Other

Enumeration date
06/18/2012
Last updated
06/18/2012
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